<div class="ad_main">
    <div class="first_top">
        <a ng-href="{{ent_mallurl}}home"><span  class="glyphicon glyphicon-chevron-left"></span></a>
        <h class="first_title">门店装修</h>
    </div>
    <div class="home_all_top">
        <div>
            <img class="mdzx-top" src="images/mdzx-top.jpg">
        </div>
        <div class="mdzx-content">
            <div class="mdzx-item1">
                <p>请填写以下信息</p>
                <p>餐谋团人员将在收到信息后的3个工作日内与您联系，确认相关事宜</p>
            </div>
            <div class="mdzx-item2">
                <table class="mdzx-basicinfor">
                        <tr>
                            <th colspan="2">基本信息填写</th><!--colspan合并列单元格-->
                        </tr>
                        <tr class="mdzx-basicinfor1">
                            <td class="mdzx-basicinfor2">负责人姓名</td>
                            <!--<td> <input type="text"> </td>-->
                            <td class="mdzx-basicinfor3"> <input type="text"></td>
                        </tr>
                        <tr class="mdzx-basicinfor1">
                            <td class="mdzx-basicinfor2">联系方式</td>
                            <!--<td><input type="text"></td>-->
                            <td class="mdzx-basicinfor3"> <input type="text"></td>
                        </tr>
                </table>
            </div>

            <div class="mdzx-item3">
                <table class="mdzx-basicinfor">
                    <tr>
                        <th colspan="2">店铺信息填写</th><!--colspan合并列单元格-->
                    </tr>
                    <tr class="mdzx-basicinfor1">
                        <td class="mdzx-basicinfor2">店铺姓名</td>
                        <!--<td> <input type="text"> </td>-->
                        <td class="mdzx-basicinfor3"> <input type="text"></td>
                    </tr>
                    <tr class="mdzx-basicinfor1">
                        <td class="mdzx-basicinfor2">店铺地址</td>
                        <!--<td><input type="text"></td>-->
                        <td class="mdzx-basicinfor3"> <input type="text"></td>
                    </tr>
                </table>
            </div>

            <div class="mdzx-item3">
                <table class="mdzx-basicinfor">
                    <tr>
                        <th>简要说明</th><!--colspan合并列单元格-->
                    </tr>
                </table>
                <div class="mdzx-basicinfor4">
                    <textarea></textarea>
                </div>


        </div>

    </div>
    </div>
</div>